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This Workers’ Compensation Claims Examiner role requires an analytical, detail‑oriented professional with strong decision‑making, communication, and case‑management skills. The ideal candidate must be licensed to handle Workers’ Compensation claims in Georgia and have a minimum of 3 years of Lost Time Workers’ Compensation claim handling experience. This role is best suited for individuals who can manage claims independently, maintain accurate documentation, provide timely communication, and deliver superior customer service while operating within a fast‑paced, compliance‑driven environment.
Job Responsibility:
Provide accurate and timely assessments of Workers’ Compensation Lost Time claims
Conduct thorough investigations, evaluate coverage, assess loss exposure, and manage cases according to established guidelines
Identify and appropriately address potential fraud, subrogation opportunities, and coverage concerns
Establish and execute effective case strategies to ensure timely and appropriate claim resolution
Deliver superior customer service to insureds, claimants, agents, underwriters, and internal partners
Communicate timely updates regarding claim activity, trends, and issue escalation
Maintain professional and effective interactions with all stakeholders
Ensure all claim files are up‑to‑date using a consistent diary system to monitor developments, follow‑ups, and required actions
Maintain accurate documentation aligned with regulatory requirements and internal quality standards
Achieve consistent compliance in investigation, coverage evaluation, loss assessment, and case management practices
Contribute to a collaborative team environment by demonstrating high motivation, teamwork, and alignment with departmental goals
Provide guidance and direction to team members as needed to support effective claim handling across the team
Requirements:
Must hold a valid adjuster's license to manage Workers Compensation claims or obtain one promptly after starting employment
A minimum of 3 years of experience handling Workers Compensation claims is required
Strong analytical skills with the ability to evaluate and interpret complex information effectively
Excellent organizational and time management skills, with the ability to handle multiple tasks simultaneously
Proven ability to work collaboratively in team settings and maintain positive working relationships
Exceptional verbal and written communication skills to convey information clearly and effectively
Bachelor's degree or equivalent detail-oriented experience is preferred
Commitment to delivering superior performance and customer satisfaction
Current Georgia Workers’ Compensation Adjuster License (required)
Additional licenses: Florida, South Carolina, North Carolina (strong plus)
3+ years handling Workers’ Compensation Lost Time claims
Strong organizational skills, multi‑tasking ability, and proficiency managing a high‑volume workload
Demonstrated critical thinking, decision‑making, and analytical capability
Excellent written and verbal communication skills
Adjuster’s license to handle Workers’ Compensation claims (must be active or obtained immediately upon hire)
Minimum 3 years of Workers’ Compensation claim handling experience
Bachelor’s Degree preferred, or equivalent professional experience
Strong time‑management skills and the ability to handle multiple priorities simultaneously
Ability to work effectively with diverse individuals and teams
Nice to have:
Florida license strongly preferred
South Carolina & North Carolina licenses also beneficial
What we offer:
medical, vision, dental, and life and disability insurance